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Aortic dissection with epileptic seizure: A case report

作     者:Bo Zheng Xue-Qiong Huang Zhao Chen Jian Wang Gang-Feng Gu Xiao-Jing Luo 

作者机构:Department of NeurologyYaan People’s HospitalYaan 625000Sichuan ProvinceChina Department of OncologyYaan People’s HospitalYaan 625000Sichuan ProvinceChina 

出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期:2022年第10卷第31期

页      面:11542-11548页

核心收录:

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100204[医学-神经病学] 10[医学] 

基  金:Supported by the Sichuan Provincial Science and Technology Department,No.2019ZYZF0063,and No.2020YJ0497 the Sichuan Medical Association,No.Q21049 the Key Technology Plan of Yaan City,No.21KJH0006 

主  题:Aortic dissection Epileptic seizure Hypertension Diagnosis Surgical treatment Case report 

摘      要:BACKGROUND Aortic dissection(AoD)is a life-threatening *** diversified clinical manifestations,especially the atypical ones,make it difficult to *** epileptic seizure is a neurological problem caused by various kinds of diseases,but AoD with epileptic seizure as the first symptom is *** SUMMARY A 53-year-old male patient suffered from loss of consciousness for 1 h and tonicclonic convulsion for 2 *** patient performed persistent hypomania and chest discomfort for 30 min after *** had a history of hypertension without regular antihypertensive drugs,and the results of his bilateral blood pressure varied *** the electroencephalogram showed the existence of epileptic *** thoracic aorta computed tomography angiography showed the appearance of AoD,and it originated at the lower part of the ascending ***,the diagnosis was AoD(DeBakey,type I),acute aortic syndrome,hypertension(Grade 3),and secondary epileptic *** was given symptomatic treatment to relieve symptoms and prevent ***,the medical therapy was effective but he refused our surgical *** The AoD symptoms are *** diagnosing the epileptic seizure etiologically,AoD is important to consider by clinical and imaging examinations.

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